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Is liraglutide at 2.5 mg/mL stable enough for four weeks of multi-withdrawal use?

Asked 30 Apr 2024Modified 2.0 years agoViewed 28k times
14

The specifics, since they change the answer: liraglutide · 2.5 mg/mL · four weeks.

Somebody stated this to me confidently and I would like to check it before repeating it.

I would accept a well-reasoned negative answer over a poorly sourced positive one.

How well supported is this claim?

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PS
askedplunger_stop13k2730 Apr 2024
8Voting to keep this open — it is more specific than it first looks. – laminar_bench 2 months ago
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5 Answers

Accepted answer first, then by votes
29

Accepted answer

four weeks is 28 days and, on a weekly schedule, 4 stopper punctures out of one vial at 2.5 mg/mL. Set the chemical question aside for a moment, because the puncture count is the one with a convention attached: 28 days is 1 times the twenty-eight days conventionally allowed for a preserved multi-dose preparation once it has been entered. Chemically, 2.5 mg/mL is high enough that adsorption to the glass is a rounding error and low enough that it is not protecting you from anything. What 4 withdrawals do add is 4 opportunities to introduce air, 4 coring events on the same stopper, and a headspace that grows with every draw — none of which show up on a certificate and all of which are avoided by splitting into aliquots at reconstitution.

Answer first: the degradation pathways worth knowing are hydrolysis, deamidation, oxidation, aggregation and adsorption, and each has a different trigger and a different mitigation.

Deamidation converts asparagine or glutamine to the corresponding acid via a succinimide intermediate, adding one dalton. It is base-catalysed, accelerates above neutral pH and is the dominant aqueous pathway for many peptides.

Degradation pathway by condition

PathwayDominant whenDetected by
DeamidationSolution, neutral to alkaline pHRP-HPLC, +1 Da on MS
OxidationLight, trace metals, peroxidesRP-HPLC, +16 Da on MS
HydrolysisSolution, extremes of pHRP-HPLC, fragment masses
AggregationAgitation, interfaces, high concentrationSEC, visual haze; often invisible on RP-HPLC
Freeze-concentration damageFreeze-thaw of buffered solutionSEC, loss of recovered content

Stated carefully, light exposure matters for tryptophan-containing sequences and for anything with a chromophore. Amber vials and a closed box are free mitigations.

Aggregation at air-liquid interfaces is established from surface-tension and particle-count studies and is the basis for anti-agitation handling guidance.

Cold, dry, dark, still. Those four words cover most of the mitigation.

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answered · acceptedhalvard_ness69k4713 Jun 2024
4Same experience here, different supplier. – s_kalniete 7 months ago
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12

The relevant point is that a mass shift of plus one dalton is deamidation and plus sixteen is oxidation, so degradation is often visible in a mass spectrum if anyone looks.

Hydrolysis cleaves the backbone, most readily at aspartate-proline and aspartate-glycine sequences, and is acid-catalysed. In a dry solid it barely proceeds at all.

Adsorption onto glass and plastic is significant at low concentrations — micrograms per millilitre — and negligible at milligrams per millilitre. It is the usual explanation for an apparent loss in a dilute preparation.

Adsorption losses at low concentrations are quantified in formulation studies and are the reason carrier proteins are used in dilute preparations.

At dilute concentrations, suspect adsorption before you suspect chemistry.

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ED
answerede_dziedzic51k1471 Jun 2024
5Any published figure for how much a collapsed cake actually retains? – Dr_Marek_Zielinski 10 months ago
6Adding for future readers: the domestic leg after delivery is the part you control. – marta_okonkwo 2 months ago
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6

This is answerable from the chemistry rather than from anecdote, which is unusual and welcome.

Aggregation is physical: peptides unfold at air-liquid interfaces and associate. Shaking maximises that interface, which is why swirling and shaking produce visibly different outcomes on the same vial.

Stated carefully, oxidation targets methionine, cysteine and tryptophan, adding sixteen daltons per oxygen. It is catalysed by trace metals and promoted by dissolved oxygen and by light.

Deamidation via the succinimide intermediate is well characterised, with sequence-dependent rates highest for asparagine-glycine motifs.

A mass spectrum names the pathway. Plus one, plus sixteen, minus eighteen.

edited 22 May 2024 by pierce_count — updated for the 2026 guidance change

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PC
answeredpierce_count24k3810 May 2024
6

Stated carefully, aggregation is a physical process and is the one most often caused by handling rather than by time.

Freeze-thaw cycling drives aggregation through concentration at the ice interface and pH shifts as buffer components crystallise out at different rates. Each cycle costs something.

Metal-catalysed oxidation of methionine is documented across peptide and protein formulations and is why chelators appear in some formulations.

The caveat is that none of these pathways can be seen by looking at a vial, and a clear solution can be substantially degraded.

Swirl, never shake. Aggregation is a handling problem more than a time problem.

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TG
answeredtandem_gradient61k24821 May 2024
2Worth adding that residual moisture predicts this better than any printed date. – marta_okonkwo 8 months ago
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-1

The short version: water enables most of it, oxygen enables oxidation, surfaces enable adsorption, and agitation enables aggregation.

A mass spectrum resolves most of this: minus eighteen is dehydration or succinimide, plus one is deamidation, plus sixteen is oxidation, and an unchanged mass with a shifted retention time is an isomer.

Sequence determines which pathways apply, so general statements are general.

Sequence decides which pathways are even available. Check the residues.

edited 4 Aug 2024 by fib4_reader — reworded for clarity after a comment

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FR
answeredfib4_reader24k2727 Jul 2024
5Thank you — this is the answer I was looking for. – sinead_gaffney 5 months ago
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Your answer

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